| Cedarbrook Community Services | |
|
8391 College Rd Baxter MN 56425-8694 | |
| (218) 822-3736 | |
| Not Available |
| Full Name | Cedarbrook Community Services |
|---|---|
| Speciality | Psychologist - Cognitive & Behavioral |
| Location | 8391 College Rd, Baxter, Minnesota |
| Authorized Official Name and Position | Gerald Jensen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2188223736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedarbrook Community Services Po Box 2633 Baxter MN 56425-2633 Ph: (218) 822-3736 | Cedarbrook Community Services 8391 College Rd Baxter MN 56425-8694 Ph: (218) 822-3736 |
| NPI Number | 1164488847 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164488847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | LP 4642 (Minnesota) | Primary |
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